scholarly journals Givers Feel the Heat, Too: Experience of Burning out under Fire of Psychological Distress among Healthcare Workers during COVID-19 Pandemic

2021 ◽  
pp. 36-45
Author(s):  
Lateef Olutoyin Oluwole ◽  
Adetunji Obadeji ◽  
Mobolaji Usman Dada
Keyword(s):  
Psychological Distress ◽  
High Risk ◽  
Emotional Exhaustion ◽  
Healthcare Workers ◽  
Healthcare Providers ◽  
Maslach Burnout Inventory ◽  
Sub Saharan Africa ◽  
Significant Difference ◽  
The Mean ◽  
Distress Scale

Background: Burnout is considered a condition of great public concern due to its biopsychosocial consequences which include poor quality of life. Healthcare providers have been described as high-risk population for experiencing burnout. Psychological distress is also considered a strong predictor of experience of burnout among healthcare workers who are burdened with the demand of the healthcare system. This is particularly so with healthcare workers in sub-Saharan Africa. The period of COVID-19 might have impacted on the burden of burnout experienced by healthcare professionals. Objective: This study was to determine the burden of burnout and its relationship with psychosocial variables among healthcare workers in a tertiary health care facility. Methods: The sample for this study was from a population of healthcare workers in a tertiary healthcare facility in southwest Nigeria. The questionnaire comprised three sections: information on socio-demographic work-related characteristics of the respondents; Maslach-Burnout-Inventory (MBI), and Kessler Psychological Distress Scale (K10) used in screening mental distress among the respondents. Student t-test and one-way ANOVA were used to compare the means scores of respondents on both the MBI and K-10 scales. Results: A total of 214 healthcare workers with mean age of 36.49±9.05 participated in the study. Seventy-six (35.5%) of the respondents had high burnout level on MBI. There was statistically significant difference in the mean score emotional exhaustion subscale of burnout experience for gender The mean score on emotional exhaustion dimension in doctors was significantly higher than the nurses. Emotional exhaustion correlated negatively with respondents’ years of experience at work (r = -0.181, p = 0.008). Thirty-seven (17.3%) of the respondents suffered mild to severe psychological distress as indicated by their scores on the Kessler scale of psychological distress. Conclusion: The study brought to the fore the relevant correlates of burnout in the high-risk group of essential healthcare providers.

scholarly journals Occupational Burnout Among Frontline Health Professionals in a High-Risk Area During the COVID-19 Outbreak: A Structural Equation Model

2021 ◽  
Vol 12 ◽  
Author(s):  
Dan Li ◽  
YuanYuan Wang ◽  
Hui Yu ◽  
Zhizhou Duan ◽  
Ke Peng ◽  
...  
Keyword(s):  
High Risk ◽  
Structural Equation Model ◽  
Emotional Exhaustion ◽  
Health Professionals ◽  
Structural Equation ◽  
Maslach Burnout Inventory ◽  
Equation Model ◽  
Occupational Burnout ◽  
Professional Efficacy ◽  
Significant Difference

Background: The outbreak of coronavirus disease 2019 (COVID-19) resulted in a substantial workload and stress for frontline health professionals in high-risk areas. Little research has investigated the mechanism of occupational burnout among the frontline health professionals located in the center of the epidemic in Wuhan, China.Methods: A total of 199 frontline health professionals from Wuhan Jinyintan Hospital completed the cross-sectional survey. Mechanisms of occupational burnout (according to the Maslach Burnout Inventory–General Survey, MBI-GS) among the health professionals in Jinyintan Hospital during the COVID-19 outbreak were examined using a structural equation model (SEM).Results: The levels of the three burnout dimensions (emotional exhaustion, cynicism, and professional efficacy) were high at 34.2, 50.8, and 35.2%, respectively. Frontline health professionals in this stressful period reported significantly greater emotional exhaustion (p < 0.001) and job-related cynicism (p < 0.001), but no significant difference in professional efficacy (p = 0.449), when compared to employees in a large multinational company. The SEM results revealed that both acute stress symptoms and psychosomatic symptoms significantly predicted the emotional exhaustion and occupation cynicism dimensions of burnout.Conclusion: The study reveals the occupational burnout mechanism of frontline health professionals during the COVID-19 peak at the time of the outbreak. This study provides an important contribution to understanding the future psychological interventions necessary for frontline health professionals during an epidemic crisis.

scholarly journals The effect of using technology for work on burnout and work productivity among Saudi board residents: a cross-sectional study

2021 ◽  
Vol 28 (1) ◽  
Author(s):  
Abrar Mohammad Al-Khudhayr ◽  
Mariyyah Ahmad Al-Shaghab ◽  
Qasem Mohammad Al-Jabr
Keyword(s):  
High Risk ◽  
Emotional Exhaustion ◽  
Statistical Significance ◽  
Work Productivity ◽  
Working Hours ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Personal Accomplishment ◽  
Cross Sectional ◽  
The Mean

Abstract Background The use of technology for work has become an unavoidable component of most occupations. It is considered a double-edged sword; it has a massive impact on employees’ mental health and productivity, mainly when used outside the working hours. This practice is referred to as technology-assisted supplemental work (TASW). This study aimed to determine the effect of supplemental work using technology behavior on burnout levels among Saudi board residents and its consequences on work productivity. Results Three hundred seventy-seven residents were involved in this study to assess their TASW behavior, burnout level, and presenteeism. The Maslach Burnout Inventory (MBI) scale is used to assess burnout, which is composed of three subscales: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). This study revealed that a high risk of EE was found among 52.5% of residents, 12.2% were at high risk of DP, and 53.1% had low PA. The mean score of TASW was 19.7 (SD 3.75) out of 30 points, while the mean score of presenteeism (SPS-6) was 18.5 (SD 4.49) out of 30 points. A significant correlation was found between SPS-6 and MBI subscales including emotional exhaustion (r=−0.642, p<0.001), depersonalization (r=−0.406, p<0.001), and personal accomplishment (r=0.206, p<0.001), but association with TASW did not reach statistical significance (p>0.05). Conclusion Burnout “specifically Emotional Exhaustion” was noted to be significantly high among residents in different specialties in Saudi Arabia. Furthermore, several factors in the study were evidently demonstrated to be highly related to burnout which is directly associated with lost work productivity. However, our study suggests that extra working hours at home using technology were not associated with burnout or an increase in productivity.

scholarly journals Time Perspective and the Risk of Developing Burnout: An Empirical Study among Different Blue-Collar Workers in Spain

2021 ◽  
Vol 13 (6) ◽  
pp. 3271 ◽  
Author(s):  
Adela Reig-Botella ◽  
Sarah Detaille ◽  
Miguel Clemente ◽  
Jaime López-Golpe ◽  
Annet de Lange
Keyword(s):  
Emotional Exhaustion ◽  
Time Perspective ◽  
Maslach Burnout Inventory ◽  
Future Time Perspective ◽  
Blue Collar ◽  
Control Group ◽  
Northern Spain ◽  
Blue Collar Workers ◽  
The Mean ◽  
Student’S T

The purpose of this research was to analyze the relationship between the time perspective of Spanish shipyard workers in relation to burnout compared to other blue-collar workers in other sectors, including a total of 644 participants in a shipyard in northern Spain and 223 workers in other sectors. The ages were between 20 and 69 (M = 46.14, SD = 10.98). We used the Spanish version of the Zimbardo Time Perspective Instrument (ZTPI) and the Maslach Burnout Inventory–General Survey (MBI-GS). The mean of the three reliability coefficients of the emotional exhaustion factor was 0.887. In respect to the five factors of the ZTPI questionnaire, the mean of those five coefficients was 0.86. A Student’s t-test for independent samples comparing shipyard naval workers vs. the control group in personality variables and burnout was used. The psychological difference between workers in the naval sector and those in other sectors is better predicted based on two variables: emotional exhaustion and professional efficacy. Workers in the naval sector have a higher risk of becoming burnt-out than workers in other sectors due to a negative past, present and future time perspective. This can be a consequence of constant understimulation and monotonous and repetitive work, as well as a lack of autonomy and social support at work.

Abstract P42: Active Compression Decompression-CPR in an Infant Manikin Model Using a Novel Adhesive Glove Device

Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Sharda Udassi ◽  
Jai P Udassi ◽  
Melissa Lamb ◽  
Doug Theriaque ◽  
Arno L Zaritsky ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Crossover Design ◽  
P Value ◽  
Compression Pressure ◽  
Compression Depth ◽  
Significant Difference ◽  
The Mean ◽  
Chest Decompression ◽  
Acd Cpr ◽  
Paired T Test

Introduction: In animals Active Compression-Decompression(ACD)-CPR improves hemodynamics compared with standard CPR (S-CPR). We evaluated the feasibility of achieving ACD-CPR with a novel, simple and inexpensive Adhesive Glove Device (AGD) in an infant manikin model using two thumb (TT) chest compression. Hypothesis: AGD-ACD CPR provides better chest decompression compared to S-CPR in an infant manikin model without excessive rescuer fatigue. Methods: Laerdal ™ Baby ALS Trainer manikin was modified to digitally record compression pressure (CP), compression depth (CD) and decompression depth (DD). The thumb portion of two oven mitts were sewn together and a Velcro adhesive patch was stitched on the underside with an encircling adjustable strap for proper fit to create the AGD. An interlocking Velcro patch was glued to the manikin chest wall. Sixteen BLS or PALS certified healthcare providers were prospectively randomized to perform either two-thumb S-CPR or AGD-ACD-CPR for 5 minutes with a 30:2 compression:ventilation ratio using a crossover design. During AGD-ACD-CPR subjects were asked to pull up during chest decompression. Rescuer heart rate (HR), respiratory rate (RR), recovery time (RT) for HR/RR to return to baseline and actual compressions delivered per minute were recorded. Subjects were blinded to data recordings. Data (mean±SEM) was analyzed using 2 sided paired t-test; p-value ≤0.05 was considered significant. Results: Chest decompression was greater with AGD-ACD-CPR; the mean DD difference was 0.11±0.02 inches, p=<0.001. Compressions given per minute were 102±21 in S-CPR group vs. 96±16 in AGD-ACD-CPR group, p=0.04. In AGD-CPR 75% and in S-CPR only 12% of subjects achieved complete recoil to or beyond baseline. There was no significant difference in CD, CP, HR, RR and RT between the groups. Conclusions: Active decompression and improved recoil was achievable with the use of our simple, inexpensive AGD in this infant CPR model. Use of our device did not result in excessive rescuer fatigue compared to S-CPR. The clinical significance of 6 less compressions/minute in the AGD-CPR group needs to be determined.

scholarly journals The impact of SARS-CoV-2 transmission fear and COVID-19 pandemic on the mental health of patients with primary immunodeficiency disorders, severe asthma, and other high-risk groups (Preprint)

2020 ◽  
Author(s):  
Fatih Çölkesen ◽  
Oguzhan Kilincel ◽  
Mehmet Sozen ◽  
Eray Yıldız ◽  
Sengul Beyaz ◽  
...  
Keyword(s):  
Mental Health ◽  
High Risk ◽  
Severe Asthma ◽  
Primary Immunodeficiency ◽  
Healthcare Workers ◽  
Depression Scale ◽  
High Risk Group ◽  
Primary Immunodeficiency Disorder ◽  
Significant Difference ◽  
The Impact

BACKGROUND The adverse effects of COVID-19 pandemic on the mental health of high-risk group patients for morbidity and mortality and its impact on public health in the long term have not been clearly determined. OBJECTIVE To determine the level of COVID-19 related transmission fear and anxiety in healthcare workers and patients with primary immunodeficiency disorder (PID), severe asthma, and the ones with other comorbidities. METHODS The healthcare workers and patients with PID, severe asthma (all patients receiving biological agent treatment), malignancy, cardiovascular disease, hypertension (90% of patients receiving ACEI or ARB therapy), diabetes mellitus (42 % of patients receiving DPP-4 inhibitor therapy) were included in the study. A total of 560 participants, 80 individuals in each group, were provided. The hospital anxiety and depression scale ( HADS ) and Fear of illness and virus evaluation (FIVE ) scales were applied to the groups with face to face interview methods. RESULTS The mean age was 49.30 years and 306 (55 %) were female. The FIVE Scale and HADS-A scale scores of health care workers were significantly higher than other groups' scores (p = 0.001 and 0.006). The second-highest scores belonged to patients with PID. There was no significant difference between the groups for the HADS-D score (p=0.07). The lowest score in all scales was observed in patients with hypertension. CONCLUSIONS This study demonstrated that in the pandemic process, patients with primary immunodeficiency, asthma patients, and other comorbid patients, especially healthcare workers, should be referred to the centers for the detection and treatment of mental health conditions.

scholarly journals App-Based Delivery of Clinical Emotional Freedom Techniques: Cross-Sectional Study of App User Self-Ratings (Preprint)

2020 ◽  
Author(s):  
Dawson Church ◽  
Peta Stapleton ◽  
Debbie Sabot
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Psychological Symptoms ◽  
Mobile Apps ◽  
Emotional Intensity ◽  
Cross Sectional ◽  
Therapeutic Benefits ◽  
Significant Difference ◽  
Emotional Freedom Techniques ◽  
Distress Scale

BACKGROUND The burgeoning area of mobile health (mHealth) has experienced rapid growth in mobile apps designed to address mental health issues. Although abundant apps offer strategies for managing symptoms of anxiety and stress, information regarding their efficacy is scarce. OBJECTIVE This study aimed to assess the effect of an mHealth app on user self-ratings of psychological distress in a sample of 270,461 app users. The Tapping Solution App guides users through the therapeutic protocols of Clinical Emotional Freedom Techniques (EFT), an evidence-based psychophysiological intervention that combines acupressure with elements of cognitive and exposure therapies. METHODS App users provided self-ratings of emotional intensity before and after app sessions (termed “tapping meditations”) using an 11-point Subjective Units of Distress scale. App user data for 23 tapping meditations, which addressed psychological symptoms of anxiety and stress, were gathered between October 2018 and October 2019, totaling 380,034 completed app sessions. RESULTS Across 12 anxiety-tapping meditations, the difference in emotional intensity ratings from presession (mean 6.66, SD 0.25) to postsession (mean 3.75, SD 0.30) was statistically significant (<i>P</i>&lt;.001; 95% CI −2.92 to −2.91). Across 11 stress-tapping meditations, a statistically significant difference was also found from presession (mean 6.91, SD 0.48) to postsession (mean 3.83, SD 0.54; <i>P</i>&lt;.001; 95% CI −3.08 to −3.07). The results are consistent with the literature on the efficacy of Clinical EFT for anxiety and stress when offered in conventional therapeutic formats. CONCLUSIONS The findings provide preliminary support for the effectiveness of the mHealth app in the immediate reduction of self-rated psychological distress. As an adjunct to professional mental health care, the app promises accessible and convenient therapeutic benefits.

scholarly journals Effectiveness of a Need-Based Program in Relieving Psychological Distress of Family Caregivers of Leukemia Patients: A Randomized Clinical Trial

2021 ◽  
Author(s):  
Mehrdad Abdullahzadeh ◽  
Narjes Khosravi
Keyword(s):  
Clinical Trial ◽  
Psychological Distress ◽  
Family Caregivers ◽  
Psychological Needs ◽  
Anxiety And Depression ◽  
Study Group ◽  
Control Groups ◽  
Significant Difference ◽  
The Mean ◽  
And Control

Abstract PurposeThe family of leukemia patients, due to their caring role, often feel psychological distress. This paper describes the efficacy of a designed family-need-based program on relieving depression, anxiety, and stress of family caregivers of leukemia patients by meeting the specific psychological needs of caregivers.MethodsIn this clinical trial, 64 family caregivers of leukemia patients referring to a medical center in Iran were recruited by convenience sampling and divided into study and control groups randomly. The study group attended a designed need-based program. The control group did not receive the intervention. Stress, anxiety, and depression before, right after, and one month after the intervention in family caregivers were compared using DASS-42. Data were analyzed using descriptive and inferential statistics; the significance level adopted was 5%.ResultsBefore the intervention, the mean score of depression, anxiety, and stress scale in both study and control groups showed no considerable difference (P > 0.05). After the intervention, the mean score of DASS-42 revealed a significant difference between the two groups and the study group did better on outcomes (P < 0.001).ConclusionThis family-need-based program can decrease the level of stress, anxiety, and depression of the family caregivers of leukemia patients and may potentially alleviate the psychological distress of family caregivers over their caring role.Trial registration number: IRCT2013093011895N2. Date of registration: 2014-05-06

scholarly journals Burnout syndrome: are stroke neurologists at a higher risk?

2019 ◽  
Vol 77 (2) ◽  
pp. 84-90
Author(s):  
Viviane Flumignan Zétola ◽  
Giovana Memari Pavanelli ◽  
Gabriella Ueharo Pereira ◽  
Francisco Manoel Branco Germiniani ◽  
Marcos Christiano Lange
Keyword(s):  
Emotional Exhaustion ◽  
Human Services ◽  
Care Setting ◽  
Maslach Burnout Inventory ◽  
Stroke Care ◽  
Burnout Syndrome ◽  
Work Related ◽  
Significant Difference ◽  
Proportional Relationship ◽  
Professional Accomplishment

ABSTRACT Background: Burnout syndrome is a work-related psychological response, characterized by emotional exhaustion, depersonalization and low professional accomplishment. Objective: The study aimed to evaluate the prevalence of burnout syndrome in neurologists in the State of Paraná, Brazil, dividing them into stroke neurologists and non-stroke neurologists. Methods: We performed a crosssectional observational study, with a quantitative approach, based on the online Maslach Burnout Inventory - Human Services Survey questionnaire. Results: A total of 74 neurologists were evaluated, 44.6% of whom had burnout syndrome, predominantly among females and stroke neurologists. Both the stroke neurologist and non-stroke neurologist groups had medium degrees of emotional exhaustion and depersonalization; however, while stroke neurologists had high professional accomplishment, non-stroke neurologists had mean-to-low scores of professional accomplishment. There was a proportional relationship between age and emotional exhaustion. Female neurologists also reported lower professional accomplishment levels. Conclusion: Burnout is prevalent among the neurologists of Paraná, corroborating the results previously reported in other studies. There seems to be no significant difference between those neurologists who work in the emergency stroke care setting compared with those who don't.

scholarly journals Systematic review of burnout among healthcare providers in sub-Saharan Africa

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Benyam W. Dubale ◽  
Lauren E. Friedman ◽  
Zeina Chemali ◽  
John W. Denninger ◽  
Darshan H. Mehta ◽  
...  
Keyword(s):  
Systematic Review ◽  
Nursing Students ◽  
Psychological Health ◽  
Healthcare Providers ◽  
Quantitative Measure ◽  
Maslach Burnout Inventory ◽  
Epidemiologic Studies ◽  
Sub Saharan Africa ◽  
Thomson Reuters ◽  
Sub Saharan

Abstract Background Burnout is characterized by physical and emotional exhaustion from long-term exposure to emotionally demanding work. Burnout affects interpersonal skills, job performance, career satisfaction, and psychological health. However, little is known about the burden of burnout among healthcare providers in sub-Saharan Africa. Methods Relevant articles were identified through a systematic review of PubMed, Web of Science (Thomson Reuters), and PsycINFO (EBSCO). Studies were selected for inclusion if they examined a quantitative measure of burnout among healthcare providers in sub-Saharan Africa. Results A total of 65 articles met our inclusion criteria for this systematic review. Previous studies have examined burnout in sub-Saharan Africa among physicians (N = 12 articles), nurses (N = 26), combined populations of healthcare providers (N = 18), midwives (N = 2), and medical or nursing students (N = 7). The majority of studies assessed burnout using the Maslach Burnout Inventory. The highest levels of burnout were reported among nurses, although all healthcare providers showed high burnout. Burnout among healthcare providers is associated with their work environments, interpersonal and professional conflicts, emotional distress, and low social support. Conclusions Available studies on this topic are limited by several methodological challenges. More rigorously designed epidemiologic studies of burnout among healthcare providers are warranted. Health infrastructure improvements will eventually be essential, though difficult to achieve, in under-resourced settings. Programs aimed at raising awareness and coping with burnout symptoms through stress management and resilience enhancement trainings are also needed.

scholarly journals Outcome of Myringoplasty with Temporalis Fascia and Perichondrial-Cartilage Composite Graft in High Risk Perforations

2019 ◽  
Vol 21 (1) ◽  
pp. 60-64
Author(s):  
Anup Dhungana ◽  
RR Joshi ◽  
AS Rijal ◽  
KK Shrestha ◽  
S Maharjan
Keyword(s):  
High Risk ◽  
Tympanic Membrane ◽  
Uptake Rate ◽  
Pure Tone Audiometry ◽  
Composite Graft ◽  
Temporalis Fascia ◽  
Fascia Graft ◽  
Significant Difference ◽  
The Mean ◽  
And Cartilage

 The objective of this study was to compare the graft uptake results and postoperative hearing of myringoplasty with temporalis fascia and cartilage-perichondrial composite graft in high risk perforations. Patients of age 13 years and above with diagnosis of chronic otitis media – mucosal type with high risk perforation that is >50% perforation of tympanic membrane, revision cases, absent/ eroded handle of malleus, oedematous/unhealthy middle ear mucosa and marginal involvement cases were included for myringoplasty. Pure Tone Audiometry was done within 1 week before surgery. 80 cases were included for myringoplasty which were randomly allocated by lottery method with 40 cases each in temporalis fascia group and cartilage perichondrial composite graft group. Graft uptake results were assessed after 6 weeks and postoperative hearing was evaluated and compared within and between the groups. Graft uptake rate in temporalis fascia group and cartilage perichondrial composite graft group was 90% and 92.5%, respectively with no significance difference in the graft uptake rate (p = 0.692) between the groups. The mean pre and post-operative air bone gap in temporalis fascia group and cartilage perichondrial composite group were 30.69dB±10.19,16.36±8.37dB and 33.73±8.07dB, 20.76±9.47dB, respectively with highly significant difference in both groups (p < 0.001) showing improvement in the hearing after surgery in both groups. The mean air bone gain were 14.33dB and 12.97dB in temporalis fascia and cartilage perichondrial composite group respectively with no significant difference between the groups (p=0.469). The graft uptake rate and hearing results after cartilage perichondrial composite graft are comparable to those of temporalis fascia graft. Furthermore, the cartilage perichondrial composite graft is more rigid and thick so it is more resistant than fascia to anatomic deformation and necrosis. Therefore, we recommend the use of cartilage perichondrial composite graft for tympanic membrane reconstruction in high risk perforation without concern about affecting audiometric results.

Sign in / Sign up

Export Citation Format

Share Document